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YJ� SAN aIOAQUIN COUN'�" <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> Telephone: (209) 468-3420 Fax: (209) 464-0138 Web:www.sogov.org/ehd <br /> �IFOR <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: '/'cvu; Date: j <br /> Address: W v' A� v W� ) City: Zip Code: <br /> Owner/Operator: ���VL �U Telephone: <br /> Program Element: /�� Program Record: ` )I �' Inspection Type'/'W,, <br /> 8180 Posted I ❑Yes ❑ Rermit Posted CdY_es F I Re-Inspection on or After: <br /> OBSERVATIONS,AND CORRECTIVE ACTIONS <br /> 1 <br /> A - _ <br /> ' <br /> ✓L / G 'I 1 i e e�°-C ;1 0 A w�P <br /> Ao .t4tJ t6a GGA C10 <br /> _0 <br /> Ram <br /> Name: Hand Sink: of Chlorine: ppm Heat: of <br /> Exp.Date: i/ rewashing Sink: of Quat.Amm.: ppm then. of <br /> Received By/Title: <br /> E <br /> EH Specialist: Phone: G <br /> Time in: Time Out: I' 1 Page of <br /> EHD 16-24 (2n1 pg) 41313 ( FOOD PROGRAM OIR CONTINUATION <br />